Department of Child Rehabilitation, Huanggang Pingan and Rehabilitation Hospital.
Huanggang Central Hospital, Huanggang, Hubei 438000, China.
Medicine (Baltimore). 2021 Jun 18;100(24):e26391. doi: 10.1097/MD.0000000000026391.
To investigate the relationship between the expression of CC and CXC chemokines and autism spectrum disorder (ASD).A total of 62 children with ASD (ASD group) and 60 gender- and age-matched normal children (control group) admitted to our hospital from January 2019 to January 2020 were included in the study. Monocyte chemoattractant protein-1 (MCP-1), macrophage inflammatory protein-1α (MIP-1α), macrophage inflammatory protein-1β (MIP-1β), regulated upon activation, normal T-cell expressed and secreted (RANTES), interleukin-8 (IL-8), monokine induced by interferon (IFN)-γ (MIG), and purified human interferon-γ-induced protein-10 (IP-10) were detected in the ASD group. The correlation between the above indexes and the severity of the ASD group was analyzed.Significantly increased MCP-1 levels (P < .01) along with the markedly decreased MIP-1α and MIP-1β levels (P < .01) were detected in the venous blood of the ASD group compared with the control group. In addition, they exhibited no significant difference (yet a downward trend) in the level of RANTES (P > .05). Children in the ASD group showed significantly decreased IP-10 levels (P < .01); however, they had no noticeable change (yet a decreasing trend) in the levels of IL-8 and MIG (P > .05). MCP-1 level was positively related to the Module 1 scores of Autism Diagnostic Observation Schedule-second edition (ADOS-2), whereas the levels of Childhood Autism Rating Scale MIP-1α, MIP-1β, IL-8, IP-10, and MIG were negatively correlated with the ADOS-2 Module 1 scores (P < .01). However, no significant correlation was found between RANTES and the ADOS-2 Module 1 scores (P > .05).The levels of CC chemokines (MCP-1, MIP-1α, MIP-1β, and RANTES) and CXC chemokines (IL-8, IP-10, and MIG) are positively correlated with the pathogenesis of ASD. Inflammation is an important contributing factor to ASD.
探讨趋化因子 CC 与 CXC 表达与自闭症谱系障碍(ASD)的关系。
选取 2019 年 1 月至 2020 年 1 月我院收治的 62 例 ASD 患儿(ASD 组)和 60 例性别和年龄匹配的正常儿童(对照组)进行研究。检测单核细胞趋化蛋白-1(MCP-1)、巨噬细胞炎性蛋白-1α(MIP-1α)、巨噬细胞炎性蛋白-1β(MIP-1β)、活化正常 T 细胞表达分泌调节因子(RANTES)、白细胞介素-8(IL-8)、干扰素-γ 诱导单核细胞因子(MIG)、人干扰素-γ 诱导蛋白-10(IP-10)在 ASD 组中的表达。分析上述指标与 ASD 组严重程度的相关性。
与对照组相比,ASD 组静脉血中 MCP-1 水平显著升高(P<0.01),MIP-1α 和 MIP-1β 水平显著降低(P<0.01)。此外,RANTES 水平差异无统计学意义(P>0.05)。ASD 组 IP-10 水平显著降低(P<0.01);然而,IL-8 和 MIG 水平无明显变化(P>0.05,呈下降趋势)。MCP-1 水平与自闭症诊断观察量表第二版(ADOS-2)模块 1 评分呈正相关,而 MIP-1α、MIP-1β、IL-8、IP-10 和 MIG 水平与 ADOS-2 模块 1 评分呈负相关(P<0.01)。然而,RANTES 与 ADOS-2 模块 1 评分之间无显著相关性(P>0.05)。
CC 趋化因子(MCP-1、MIP-1α、MIP-1β 和 RANTES)和 CXC 趋化因子(IL-8、IP-10 和 MIG)水平与 ASD 的发病机制呈正相关。炎症是 ASD 的一个重要致病因素。